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Published on: May 17, 2024
Gross Motor Development of Children with Congenital Heart Disease Receiving Early Systematic Surveillance and
Solène Fourdain1,2, Marie-Noëlle Simard1,2,3, Lynn Dagenais3
1Sainte-Justine University Hospital Research Center , Montreal, Quebec, Canada.
Insights
Most infants with congenital heart disease (CHD) show gross motor delays. Early physical therapy may improve motor development in these high-risk children.
Area of Science:
- Pediatrics
- Developmental Pediatrics
- Cardiology
Background:
- Congenital heart disease (CHD) affects approximately 1% of live births.
- Infants with CHD often experience developmental challenges, including gross motor delays.
- Systematic developmental follow-up is crucial for early identification of these issues.
Purpose of the Study:
- To describe gross motor development in infants with CHD aged 4-24 months.
- To determine the frequency of physical therapy (PT) received by these infants between 4-8 months.
- To explore the relationship between PT frequency and motor development outcomes.
Main Methods:
- Retrospective study of 29 infants with CHD.
- Motor assessments using the Alberta Infant Motor Scales (AIMS) at 4 months.
- Motor assessments using the Bayley Scales of Infant and Toddler Development, Third edition (Bayley-III) at 12 and 24 months.
Main Results:
- 79% of 4-month-old infants with CHD exhibited gross motor delay.
- 56.5% received 1-2 PT sessions, while 43.5% received 3-6 sessions.
- Infants with regular PT interventions showed better motor score improvement from 12-24 months.
Conclusions:
- Early gross motor screening is vital for infants with CHD.
- Early physical therapy intervention shows potential benefits for motor development in at-risk infants.
- Further research into optimal PT protocols for infants with CHD is warranted.
Abstract:
Purpose: This retrospective study aims to describe the gross motor development of children aged 4 to 24 months with congenital heart disease (CHD) enrolled in a systematic developmental follow-up program and to describe the frequency of physical therapy sessions they received between 4 and 8 months of age. Methods: Twenty-nine infants with CHD underwent motor evaluations using the AIMS at 4 months, and the Bayley-III at 12 and 24 months. Results: Based on AIMS, 79% of 4-month-old infants had a gross motor delay and required physical therapy. Among these, 56.5% received one to two physical therapy sessions, and 43.5% received three to six sessions. Infants who benefited from regular interventions tended to show a better improvement in motor scores from 12 to 24 months. Conclusion: This study highlights the importance of early motor screening in infants with CHD and suggests a potential benefit of early physical therapy in at-risk children. Abbreviations: CHD: Congenital heart disease; AIMS: Alberta Infant Motor Scales; Bayley-III: Bayley Scales of Infant and Toddler Development, Third edition; Bayley-III/GM: Gross Motor section of the Bayley Scales of Infant and Toddler Development, Third edition.
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